Regan Gael Wilson, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5748915-4901 Issued in UT

Practice address

5540 Westmorland Dr
Bozeman, MT 59718-4817

Phone

(435) 559-4225

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Nutrition Group, LLC

  • Registered Dietitian
  • Bozeman, MT
  • NPI 1740754472

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1306072988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 WESTMORLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184817",
            "telephone_number": "435-559-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 WESTMORLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184817",
            "telephone_number": "435-559-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REGAN",
        "middle_name": "GAEL",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5748915-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mann Wilshire IV, DPM
• Deborah Wilson, LCSW
• Dena Joleen Wilson, OT
• Hannah Rachael Wilson, MA, LCPC
• Jacqueline S Wilson, M.D.
• Nichole Marie Wiltshire-Scala
• Stephen Lee Wiltzen, PT
• John David Wimberly, PH.D.
• Lindsay Wimett, PA-C
• Nicole Morin Wing, FNP-BC

• Registered Dietitian in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.